National Healthcare Quality and Disparities Report
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
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1 to 2 of 2 Research Studies DisplayedMao Y, Li Y, McGarry B
Home time and state regulations among Medicare beneficiaries in assisted living communities.
The objectives of this study were to assess variation in home time among assisted living (AL) residents in the year following admission and to examine associations with state regulations for direct care workers (DCW) training and staffing and for licensed nurse staffing. The study sample included new Medicare beneficiary residents in over 12,000 AL facilities. Findings showed that home time varied substantially among AL residents depending on resident characteristics and state-level regulatory specificity; residents eligible for Medicare and Medicaid had shorter home time than the Medicare-only residents. The authors concluded that their findings could guide AL operators and state legislators toward improvements in this important quality of life metric.
AHRQ-funded; HS026893.
Citation: Mao Y, Li Y, McGarry B .
Home time and state regulations among Medicare beneficiaries in assisted living communities.
J Am Geriatr Soc 2024 Mar; 72(3):742-52. doi: 10.1111/jgs.18709..
Keywords: Medicare, Policy, Long-Term Care, Quality of Life
Powell KR, Farmer M, Liu J
A survey of technology abandonment in US nursing homes.
This study examined abandonment of health information technology (HIT) by US nursing homes (NHs) and its association with organizational characteristics among a national sample of US NHs. This longitudinal, retrospective analysis used data from 2 sources: the HIT Maturity Survey and Staging model and public data from the Care Compare database. The authors used a random sample of 299 NHs representing each US state that completed the HIT maturity survey in 2 consecutive years: year 1 (Y1) was June 2019-August 2020 and year 2 (Y2) was June 2020-August 2021. The primary dependent variable was technology abandonment, operationalized by using total HIT maturity score, HIT maturity stage, and subscale scores within each dimension/domain; and independent variables were NH organizational characteristics including bed size, type of ownership, urbanicity, Centers for Medicare & Medicaid Services Five-Star Overall Rating and Staffing Rating. Results were that over the 2-year period HIT abandonment occurred in 28% of NHs compared with 44% that experienced growth in HIT systems. Capabilities in resident care was abandoned most frequently. They found that large NHs (bed size greater than 120) were more likely to experience technology abandonment in administrative activities. They concluded that technology abandonment can increase strain on scarce resources and may impact administrators' ability to oversee clinical operations, especially in large NHs.
AHRQ-funded; HS022497.
Citation: Powell KR, Farmer M, Liu J .
A survey of technology abandonment in US nursing homes.
J Am Med Dir Assoc 2024 Jan; 25(1):6-11. doi: 10.1016/j.jamda.2023.09.002..
Keywords: Nursing Homes, Health Information Technology (HIT), Long-Term Care